Population Health Improvement Plan | 2026
Update with complete solutions.
1. The term “population health” as defined by Kindig &
Stoddart (2003) refers to:
a) The health outcomes of a group of individuals, including the
distribution of outcomes within the group
b) The healthcare services provided to a community
c) The number of hospital beds per capita
d) The genetic makeup of a population
Answer: a) Health outcomes and their distribution
Rationale: Population health emphasizes both the average level of
health and how health is distributed across subgroups. It includes
determinants and outcomes.
2. Which of the following is a social determinant of
health (SDOH)?
,Page 2 of 60
a) Neighborhood and built environment
b) Genetic predisposition
c) Emergency room visit rate
d) Number of stethoscopes in a clinic
Answer: a) Neighborhood and built environment
Rationale: SDOH include economic stability, education, healthcare
access, neighborhood environment, and social/community context.
Genetics and healthcare utilization are not SDOH per se.
3. Healthy People 2030’s overarching goal related to health
equity is:
a) Eliminate health disparities and achieve health literacy
b) Increase the number of hospitals
c) Reduce healthcare costs by 50%
d) Mandate universal vaccination
Answer: a) Eliminate disparities and improve health literacy
Rationale: Healthy People 2030 includes “eliminating health
,Page 3 of 60
disparities” and “attaining health literacy” as key goals. It updates
HP2020 objectives.
4. The Health Impact Pyramid (Frieden, 2010) prioritizes
which level as having the greatest population impact?
a) Counseling and education
b) Clinical interventions
c) Socioeconomic factors (poverty, education, housing)
d) Long-lasting protective interventions (vaccinations, water
fluoridation)
Answer: c) Socioeconomic factors
Rationale: The pyramid shows that interventions addressing
socioeconomic factors (e.g., poverty reduction, education) have the
broadest potential impact, though they are hardest to implement.
Below that are protective interventions, clinical interventions,
counseling, and education.
, Page 4 of 60
5. A “population health improvement plan” (PHIP) typically
includes all of the following components EXCEPT:
a) Community health needs assessment
b) Prioritized health goals and strategies
c) Individual patient treatment plans
d) Evaluation metrics and timeline
Answer: c) Individual patient treatment plans
Rationale: PHIPs focus on populations, not individual clinical care.
Individual care plans belong to patient-centered medical homes or
case management, not population-level plans.
6. The Morbidity and Mortality Weekly Report (MMWR) is
published by:
a) World Health Organization
b) Centers for Disease Control and Prevention (CDC)
c) National Institutes of Health
d) American Public Health Association